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Endoscopically directed external support of femoral vein valves

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Presentation on theme: "Endoscopically directed external support of femoral vein valves"— Presentation transcript:

1 Endoscopically directed external support of femoral vein valves
Gadzhi Makhatilov, MD, Gamid Askerkhanov, MD, PhD, Medjid Arsenovich Kazakmurzaev, MD, Ismail Ismailov, MD, PhD  Journal of Vascular Surgery  Volume 49, Issue 3, Pages (March 2009) DOI: /j.jvs Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

2 Fig 1 Type I. Short wide separated cusps. Wide commissural angle is not presented (shown by arrows). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

3 Fig 2 Type II. Elongated cusps and wide commissural angle are present. One of the cusps is prolapsing (arrow) during the solution infusion. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

4 Fig 3 Type III. Mono cusp valve is present (arrow).
Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

5 Fig 4 Spiral is placed in the valve area.
Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

6 Fig 5 Spiral is placed in the valve area. Arrow 1, Femoral vein branch; arrow 2, femoral vein. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

7 Fig 6 Type I valve. External support of the valve was performed. Panel a, The solution infusion is completed and the valve is competent (arrows). Panel b, The valve before correction is presented by short, wide separated cusps (arrows). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

8 Fig 7 Descending phlebography. Before the operation, reflux is evident in the femoral vein. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

9 Fig 8 Descending phlebography. After the operation, no reflux is present in the femoral vein. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

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